It’s become clear to me that Trump/Pence don’t believe in/understand social science. How can we move toward a more just nation with leaders who deny the existence of the very issues that are tearing us apart?

1/
In the #VPDebate, Pence said it was insulting to suggest that law enforcement has implicit bias. That’s like saying it’s insulting to say that law enforcement officers have two eyes and a nose. These are facts. Along with our facial features, we all have implicit bias.

2/
That’s why it’s so insidious and problematic. Indeed, the Executive Order on stereotyping also reveals a complete lack of understanding of these issues.

whitehouse.gov/presidential-a…

3/
They list this belief as a “divisive concept”: “an individual, by virtue of his or her race or sex, is inherently racist, sexist, or oppressive, whether consciously or unconsciously”

4/
This is a fundamental misunderstanding of the issue. No one’s out there teaching that all men are sexist and all white people are racist. It’s true, though, that MOST people, for example, ascribe to the same gender schemas.

5/
We are all more comfortable with women who are kind, nurturing, smiling, etc than those who are assertive, ambitious, and smart. People of all genders, not just men, find the latter (assertive women) threatening.

6/
Similar principles apply for racism, ableism, xenophobia, etc. We have learned schemas through our experiences, and these, for the most part, help us understand the world.

7/
However, these schemas are also damaging because they lead us to a whole host of false beliefs: that only white men can be scientists, that Black men are criminals, etc. These beliefs are clearly false and damaging in many ways.

8/
I just do not see how people who don’t understand these basic concepts can foster the environment we deserve, one in which all people can truly thrive. It’s clear we have a better chance at it with Biden/Harris.

#BidenHarris2020

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More from @arghavan_salles

7 Oct
Given all that is going on in the world these days, many of you may have ideas for writing. Great! We need to hear more from healthcare workers. But, especially if you haven't done it before, you may have some questions about where to send your work.

THREAD 1/
In advance of my session with @drjessigold on writing (for @WIMSummit), I thought I'd address one of the most common questions I get asked. Usually it goes something like this: I've written about abc. Where can I publish it?

womeninmedicinesummit.org

2/
And the answer is: it depends. What is your intended audience? Is it a narrative? Is it academic? Is it making a persuasive argument?

3/
Read 16 tweets
19 Aug
People are bustling around in the room, going from the computer to the counter to pick up supplies, to the patient or the IV pump to deliver meds. The ventilator is making the sounds of inhalation/exhalation, persistently pushing oxygen into the lungs & evacuating the CO2.

1/
There is a heart monitor that keeps alarming—a persistent ding, ding, ding--until one of the bustlers temporarily silences it. There is a continuous dialysis machine running, & blood fills up the tubing. The IV pole is overwhelmed due to the number of meds that are needed.

2/
The nurse brings in a second IV pole for additional meds. In the middle of all this activity is the patient. Everything we do in that room is to try to keep the patient alive. As the oxygen level goes low, the monitor alarms again.

3/
Read 13 tweets
11 Aug
I’ve been in Arizona a week now. Maybe it’s because I already knew what to expect. Or maybe it’s because I’m not caring for the sickest of the ICU patients. Either way, when I first got here, I thought, “This is not as bad as I had expected.”

1/
Then I started to wonder if pandemic fatigue affected even this aspect of my perception. Was I so jaded about this virus that seeing sick people dying alone no longer affected me?

2/
Then I experienced something that could warm even the coldest of hearts. It happens every day in every hospital—a patient needing a breathing tube. What played out, though, could have been a scene in a movie, with a haunting melody from a cello in the background.

3/
Read 10 tweets
7 Aug
On my third day I got the reminder. My first two days here, things seemed normal-ish. Yes, there were way more ICU patients than usual, and most of them had #COVID19. We still have to wear lots of PPE, and patients stay sick in the hospital a long time.

THREAD

1/
But we met in a workroom, not in a temporary ICU. We had some new patients who did not have COVID (at least not that we knew of). And there was a system in place for managing the additional strain on the hospital system.

2/
When I came in yesterday morning (day 3), 1 patient who had been stably critically ill had taken a sudden turn for the worse. And despite everything we could do, his life was ending. This is the COVID I remember from New York.

3/
Read 11 tweets
4 Aug
Here’s my main insight from a half-day orienting in the hospital: 110 degrees is very hot. And temps above 100 until 10 pm means no running outside for me. (I know that’s not covid-specific, but still noteworthy!)

Non-weather related observations to follow.

1/
They’ve had to nearly double the number of ICU beds, and they have doubled the number of teams providing ICU care. The mortality rate seems to be lower than in NY but is still exacting quite a toll on the mental health of the healthcare workers.

2/
The amount of PPE seems to be no better than in NY 4 months ago. I have two N95s for ~3 weeks. If one gets soiled, I can ask for another.

This is 100% a failure of national leadership.

3/
Read 8 tweets
31 Jul
Please read this piece by @DionRabouin debunking the top 10 MYTHS about the racial wealth gap (eg, suggestions that Black people should get more education, save more, etc).

I’ll share some highlights from the piece here.

THREAD.

1/

axios.com/racial-wealth-…
Is the gap due to lack of education? Turns out, matched for level of education, Black people still have less wealth than white people.

In addition, Black people with post-college advanced degrees have “about 1/2 as much wealth as the avg white earner with just a college degree.”
If only Black people would buy more houses, would the racial wealth gap disappear?

No, it is wealth that allows people to buy homes, not the other way around.

3/
Read 13 tweets

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